孔源性视网膜脱离治疗体会

目的:探讨巩膜外加压联合不放液手术治疗孔源性视网膜脱离的疗效性和安全性。方法:选择2009-01/2013-01我院收治的88例88眼孔源性视网膜脱离的患者作为观察对象,所有病例均行巩膜手术,随机分为巩膜外加压联合不放液手术组(A组)44例44眼;巩膜外加压联合放液手术组(B组)44例44眼,比较两组患者的视网膜复位率、术后视力恢复情况以及术后并发症发生情况。结果:A组44眼解剖复位率为93%,B组44眼解剖复位率为89%,两组比较差异无显著性(P>0.05);A组手术后视力改善37眼(84%),B组手术后视力改善34眼(77%),A组较B组在视力恢复方面明显较好,两组比较差异显著(P<0.05);A组术后并发症发生率为11%,低于B组术后并发症发生率32%,但两组比较差异无显著性(P<0.05)。结论:巩膜外加压联合不放液手术治疗孔源性视网膜脱离疗效显著,安全性较稳定,值得临床广泛推广。

Experience on the treatment of rhegmatogenous retinal detachment

AIM: To investigate the effect and safety of combined surgery with scleral buckling and drainage operation in the treatment of rhegmatogenous retinal detachment.

METHODS: Totally 88 patients(88 eyes)with rhegmatogenous retinal detachment accepted in our hospital from January 2009 to January 2013 were selected as study objects. All patients were given scleral operation and divided into two groups according to the operation mode. Patients in group A(44 eyes of 44 cases)were treated with combined surgery with scleral buckling and nondrainage operation, while patients in group B(44 eyes of 44 cases)were given combined surgery with scleral buckling and drainage operation. The retinal reattachment rate, postoperative visual acuity and complications between groups were compared after treatment.

RESULTS:The anatomic reduction rates of eyes in group A and B were respectively 93% and 89%, with no significant differences between groups(P>0.05). There were 37 eyes(84%)improved in eyesight after operation in group A, only 34 eyes(77%)in group B. And visual acuity recovery rate of group A was evidently higher than that of group B, with significant differences between them(P<0.05). Furthermore, the postoperative complication rate of group A was significantly lower than that of group B(11% vs 32%, P<0.05).

CONCLUSION: It is efficient and secure for combined surgery with scleral buckling and drainage operation to treat patients with rhegmatogenous retinal detachment, which is worthy of clinical application.